| Entity Name: | CHILDREN AND FAMILY PLACE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Mar 2010 (15 years ago) |
| Date of dissolution: | 19 Jul 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Jul 2021 (4 years ago) |
| Document Number: | L10000027698 |
| FEI/EIN Number | 27-1788957 |
| Address: | 6220 S. Orange Blossom Trail, Suite 161, Orlando, FL 32809 |
| Mail Address: | 6220 S. Orange Blossom Trail, Suite 161, ORLANDO, FL 32809 |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528389590 | 2010-06-14 | 2021-05-10 | 6220 S ORANGE BLOSSOM TRL STE 161, ORLANDO, FL, 328094677, US | 6220 S ORANGE BLOSSOM TRL STE 161, ORLANDO, FL, 328094677, US | |||||||||||||||||||
|
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| Phone | +1 407-697-9247 |
Authorized person
| Name | MR. ANTHONY HAROLD BLOUNT |
| Role | CEO |
| Phone | 4076979247 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1528389590 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BLOUNT, ANTHONY H | Agent | 6220 S. Orange Blossom Trail, Suite 161, ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| BLOUNT, ANTHONY, CEO | Manager | 6220 S. Orange Blossom Trail, Suite 161 ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| GUERRELUS, ELANGE | Managing Member | 16470 CEDAR RUN DRIVE, ORLANDO, FL 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-19 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-04 | 6220 S. Orange Blossom Trail, Suite 161, ORLANDO, FL 32809 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-04 | 6220 S. Orange Blossom Trail, Suite 161, Orlando, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-04 | 6220 S. Orange Blossom Trail, Suite 161, Orlando, FL 32809 | No data |
| LC AMENDMENT | 2013-08-05 | No data | No data |
| REINSTATEMENT | 2013-04-17 | No data | No data |
| PENDING REINSTATEMENT | 2013-01-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-19 |
| ANNUAL REPORT | 2021-06-21 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-24 |
| LC Amendment | 2013-08-05 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
